Hip Precautions After Hemiarthroplasty

Evidence-Based Approach to Hip Precautions

The American Academy of Orthopaedic Surgeons states that current evidence does not show outcome differences between surgical approaches in the general population 1
In high-risk patients with neurological or cognitive impairment, the posterior approach may carry increased dislocation risk, and surgeons should consider alternative approaches 1
When the direct lateral or anterolateral approach is used, meticulous capsular repair minimizes dislocation risk, making precautions unnecessary 1

Early mobilization with weight-bearing as tolerated reduces DVT risk and improves functional recovery 1, 2
Recognition of dislocation symptoms, such as sudden pain, inability to bear weight, leg length discrepancy, and abnormal rotation, is crucial for patient education 1

The importance of interdisciplinary care programs involving orthopedics, geriatrics, and physical therapy should be emphasized 2, 3